ADVENTURE REGISTRATION | Ed Mattei Foundation

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IF Movie
Cinemart Theater
Saturday, May 18th
10:30am
Ages 5 - 14

CHILD FIRST NAME

CHILD LAST NAME

PARENT NAME

PARENT PHONE NUMBER

PARENT EMAIL

CHILD BIRTHDAY

SPECIAL NEEDS

ADHD

AUTISM SPECTRUM

HEARING IMPAIRED

VISUALLY IMPAIRED

OTHER (Please specify)

ALLERGIES, DIETARY RESTRICTIONS OR OTHER SPECIAL NEEDS

Transportation

We'll Meet You There!

We'll Need Transportation!

Thank you for your interest

You will receive a confirmation once a space is verified

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Ed Mattei Foundation 2023

501(c)3 Charitable Organization

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